Individual provider Active NPI

James Alan Long, MD

  • Dermatopathology (Pathology) Physician
  • Birmingham, AL
National Provider Identifier
1114130408
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
MD.25042 Issued in AL
Practice address
3512 Old Montgomery Hwy
Birmingham, AL 35209-5706
Phone
(205) 879-2260
Fax
(205) 879-2261
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X MD.25042 AL
Dermatopathology (Pathology) Physician 207ZD0900X MD.25042 AL Primary

Addresses

Primary practice location

3512 Old Montgomery Hwy
Birmingham, AL 35209-5706

Mailing address

1010 Airpark Center Dr
Nashville, TN 37217-5200
Phone (615) 221-4400

Other identifiers 1

IdentifierTypeStateIssuer
1114130408MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.25042ALMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Diagnostics Group PC Dermatopathology CurrentSince Nov 1, 2009 Accepting new patients
Associated Pathologists LLC Current Accepting new patients
Skin Diagnostics Group, PC CurrentSince Nov 1, 2009 Accepting new patients

Locations

3512 Old Montgomery Hwy
Homewood, AL 35209
Phone (205) 879-2260

1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1114130408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 AIRPARK CENTER DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372175200",
            "telephone_number": "615-221-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 OLD MONTGOMERY HWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095706",
            "telephone_number": "205-879-2260",
            "fax_number": "205-879-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JAMES",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "AL",
            "license": "MD.25042",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "AL",
            "license": "MD.25042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114130408",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.